{"id":"https://openalex.org/W3136336424","doi":"https://doi.org/10.21203/rs.3.rs-305708/v1","title":"Determinants of surgeon referral and radiation therapy receipt following breast conservation among older women with early-stage breast cancer","display_name":"Determinants of surgeon referral and radiation therapy receipt following breast conservation among older women with early-stage breast cancer","publication_year":2021,"publication_date":"2021-03-19","ids":{"openalex":"https://openalex.org/W3136336424","doi":"https://doi.org/10.21203/rs.3.rs-305708/v1","mag":"3136336424"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-305708/v1","doi":"https://doi.org/10.21203/rs.3.rs-305708/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-305708/v1","pdf_url":"https://www.researchsquare.com/article/rs-305708/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-305708/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019869780","display_name":"Mira A. Patel","orcid":"https://orcid.org/0000-0002-4926-5128","observed_orcids":["https://orcid.org/0000-0002-4926-5128"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mira A. Patel","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046781034","display_name":"Elaine Cha","orcid":"https://orcid.org/0000-0001-8514-1467","observed_orcids":["https://orcid.org/0000-0001-8514-1467"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elaine Cha","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":"https://orcid.org/0000-0001-8514-1467","affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044340498","display_name":"Stephanie M Lobaugh","orcid":"https://orcid.org/0000-0002-6817-8169","observed_orcids":["https://orcid.org/0000-0002-6817-8169"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephanie Lobaugh","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center","Memorial Sloan Kettering Cancer Center Zhigang Zhang Memorial Sloan Kettering Cancer Center Beryl McCormick Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center Zhigang Zhang Memorial Sloan Kettering Cancer Center Beryl McCormick Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100373984","display_name":"Zhigang Zhang","orcid":"https://orcid.org/0000-0001-8666-1026","observed_orcids":["https://orcid.org/0000-0001-8666-1026","https://orcid.org/0009-0006-2046-3725"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zhigang Zhang","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032257865","display_name":"Beryl L. McCormick","orcid":"https://orcid.org/0000-0002-4550-0565","observed_orcids":["https://orcid.org/0000-0002-4550-0565"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Beryl McCormick","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034069802","display_name":"Lior Zvi Braunstein","orcid":"https://orcid.org/0000-0002-5127-0217","observed_orcids":["https://orcid.org/0000-0002-5127-0217"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lior Z. Braunstein","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center","Memorial Sloan Kettering Cancer Center Oren Cahlon Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center Oren Cahlon Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084763037","display_name":"Oren Cahlon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oren Cahlon","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056895130","display_name":"Simon N. Powell","orcid":"https://orcid.org/0000-0002-8183-4765","observed_orcids":["https://orcid.org/0000-0002-8183-4765"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Simon N. Powell","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078628563","display_name":"Monica Morrow","orcid":"https://orcid.org/0000-0003-4636-8313","observed_orcids":["https://orcid.org/0000-0003-4636-8313","https://orcid.org/0000-0003-2821-8805"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Monica Morrow","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049384427","display_name":"Atif J. Khan","orcid":"https://orcid.org/0000-0001-8640-8530","observed_orcids":["https://orcid.org/0000-0001-8640-8530"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Atif Khan","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056322583","display_name":"Erin F. Gillespie","orcid":"https://orcid.org/0000-0002-1386-1542","observed_orcids":["https://orcid.org/0000-0002-1386-1542"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin F. Gillespie","raw_affiliation_strings":["Memorial Sloan Kettering Cancer Center","Memorial Sloan Kettering Cancer Center Research"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Memorial Sloan Kettering Cancer Center Research","institution_ids":["https://openalex.org/I1334819555"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1334819555"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13123","display_name":"Advances in Oncology and Radiotherapy","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-breast-cancer","display_name":"early breast cancer","score":0.8930000066757202},{"id":"https://openalex.org/keywords/breast-conserving-surgery","display_name":"breast-conserving surgery","score":0.8259999752044678},{"id":"https://openalex.org/keywords/older-women","display_name":"older women","score":0.9200000166893005},{"id":"https://openalex.org/keywords/financial-incentives","display_name":"financial incentives","score":0.8399999737739563},{"id":"https://openalex.org/keywords/quality-assurance-review","display_name":"quality assurance review","score":0.7910000085830688},{"id":"https://openalex.org/keywords/performance-status","display_name":"performance status","score":0.640999972820282},{"id":"https://openalex.org/keywords/tumor-grade","display_name":"tumor grade","score":0.7139999866485596},{"id":"https://openalex.org/keywords/estrogen-receptor-positive-breast-cancer","display_name":"estrogen receptor-positive breast cancer","score":0.6819999814033508},{"id":"https://openalex.org/keywords/treatment-utilization","display_name":"treatment utilization","score":0.3700000047683716}],"concepts":[{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.845811128616333},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7384803295135498},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.684843122959137},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.667672872543335},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6669930219650269},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.6195895075798035},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.4783187210559845},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4608582556247711},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4013495445251465},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.37848401069641113},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33363381028175354},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2431263029575348},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.05554172396659851},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-305708/v1","doi":"https://doi.org/10.21203/rs.3.rs-305708/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-305708/v1","pdf_url":"https://www.researchsquare.com/article/rs-305708/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-305708/v1","doi":"https://doi.org/10.21203/rs.3.rs-305708/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-305708/v1","pdf_url":"https://www.researchsquare.com/article/rs-305708/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G2051006376","display_name":null,"funder_award_id":"CA008748","funder_id":"https://openalex.org/F4320309468","funder_display_name":"Memorial Sloan-Kettering Cancer Center"}],"funders":[{"id":"https://openalex.org/F4320309468","display_name":"Memorial Sloan-Kettering Cancer Center","ror":"https://ror.org/02yrq0923"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3136336424.pdf","grobid_xml":"https://content.openalex.org/works/W3136336424.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1561070017","https://openalex.org/W1568591362","https://openalex.org/W1831225282","https://openalex.org/W1968731431","https://openalex.org/W1982853521","https://openalex.org/W1987906133","https://openalex.org/W1999130958","https://openalex.org/W2019039351","https://openalex.org/W2067420088","https://openalex.org/W2095052610","https://openalex.org/W2097294764","https://openalex.org/W2111317639","https://openalex.org/W2122428334","https://openalex.org/W2122679888","https://openalex.org/W2128585633","https://openalex.org/W2171015116","https://openalex.org/W2172164484","https://openalex.org/W2266693858","https://openalex.org/W2268935515","https://openalex.org/W2468270515","https://openalex.org/W2593092399","https://openalex.org/W2600393004","https://openalex.org/W2725386395","https://openalex.org/W2739161935","https://openalex.org/W2898217460","https://openalex.org/W2903520445","https://openalex.org/W2908356299","https://openalex.org/W2912235003","https://openalex.org/W2921013159","https://openalex.org/W2941789694","https://openalex.org/W2950509749","https://openalex.org/W2981242584","https://openalex.org/W2995497204","https://openalex.org/W2998606888","https://openalex.org/W3042000976"],"related_works":["https://openalex.org/W3191926170","https://openalex.org/W4306928312","https://openalex.org/W2972632323","https://openalex.org/W2229389948","https://openalex.org/W2591533293","https://openalex.org/W2030941393","https://openalex.org/W2905197920","https://openalex.org/W2092759243","https://openalex.org/W7172532072","https://openalex.org/W1969557997"],"abstract_inverted_index":{"Abstract":[0],"Purpose":[1],"Guidelines":[2],"for":[3,8,39,64,207],"early-stage":[4],"breast":[5,13,68],"cancer":[6,69],"allow":[7],"radiotherapy":[9],"(RT)":[10],"omission":[11],"following":[12],"conserving":[14],"surgery":[15],"(BCS)":[16],"among":[17],"older":[18],"women,":[19],"though":[20],"high":[21],"utilization":[22],"of":[23,34,59,209,224],"RT":[24,84,129,139,152,210],"persists.":[25],"This":[26],"study":[27],"explores":[28],"surgeon":[29],"referral":[30,82,178],"and":[31,83,89,92,111,125,167,190,217],"the":[32],"effect":[33],"a":[35,71],"productivity-based":[36],"bonus":[37],"metric":[38,99,145],"radiation":[40,80,123,204,225],"oncologists":[41],"in":[42,138,219,229],"an":[43],"academic":[44],"institution":[45,73],"with":[46,62,156,181,221],"centralized":[47,239],"quality":[48],"assurance":[49],"(QA)":[50],"review.":[51,241],"Methods":[52],"We":[53],"evaluated":[54],"patients":[55,116],"\u2265":[56],"70":[57],"years":[58],"age":[60,159,183,216],"treated":[61],"BCS":[63],"ER":[65],"+":[66],"pT1N0":[67],"at":[70],"single":[72],"between":[74,108],"2015\u20132018.":[75],"The":[76],"primary":[77],"outcomes":[78,110],"were":[79,120],"oncology":[81,124,205],"receipt.":[85],"Covariables":[86],"included":[87],"patient":[88,158],"physician":[90],"characteristics,":[91],"treatment":[93],"decisions":[94],"before":[95],"versus":[96,142],"after":[97],"productivity":[98,144],"implementation.":[100],"Univariable":[101],"generalized":[102],"linear":[103],"effects":[104],"models":[105],"explored":[106],"associations":[107],"these":[109,248],"covariables.":[112],"Results":[113],"Of":[114],"703":[115],"included,":[117],"483":[118],"(69%)":[119],"referred":[121],"to":[122,203,231,246],"273":[126],"(39%)":[127],"received":[128,134],"(among":[130],"those":[131],"referred,":[132],"57%":[133],"RT).":[135],"No":[136],"difference":[137],"receipt":[140,153],"pre-":[141],"post-":[143],"implementation":[146],"was":[147,154,179,213],"observed":[148],"(p":[149],"=":[150],"0.57).":[151],"associated":[155,180],"younger":[157,182],"(70\u201374":[160],"years,":[161],"OR":[162,172,185,196],"2.66,":[163],"95%":[164,174,187,198],"CI":[165,175,188,199],"1.54\u20134.57)":[166],"higher":[168,191],"grade":[169],"(grade":[170],"3,":[171],"7.75,":[173],"3.33\u201318.07).":[176],"Initial":[177],"(70\u201374,":[184],"5.64,":[186],"3.37\u20130.45)":[189],"performance":[192],"status":[193],"(KPS":[194],"\u226590,":[195],"5.34,":[197],"2.63\u201310.83).":[200],"Conclusion":[201],"Non-referral":[202],"accounted":[206],"half":[208],"omission,":[211],"but":[212],"based":[214],"on":[215],"KPS,":[218],"accordance":[220],"guidelines.":[222],"Lack":[223],"oncologist":[226],"practice":[227],"change":[228],"response":[230],"misaligned":[232],"financial":[233],"incentives":[234],"is":[235],"reassuring,":[236],"potentially":[237],"reflecting":[238],"QA":[240],"Multi-institutional":[242],"studies":[243],"are":[244],"needed":[245],"confirm":[247],"findings.":[249]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2021-03-29T00:00:00"}